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pubmed:otherAbstract |
PIP: 53 self-selected cases of tubal reanastomosis are summarized and followed up. Only patients who had been sterilized by the Pomeroy sterilization method were chosen for this reanastomosis procedure. All but 3 of the cases were performed with a single-side repaired. The longest, least scarred tube with the fewest adhesions was chosen for reanastomosis. The procedure is described. Various techniques were used to confirm patency following the procedure. Follow-up results of the 53 cases are presented in tabulated form. The cases exhibited a high pregnancy rate (64%), a high viable birth rate (47%), and a low tubal pregnancy rate (15%). The high success rate of this series is attributed to the preservation of tubal tissue through a Pomeroy sterilization procedure and a lack of intraluminal material at the repair site. In the 3 cases in which both tubes were repaired, a tubal pregnancy preceded an intrauterine pregnancy.
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